Sentences with phrase «prior authorization requests»

Completed prior authorization requests from physicians for surgical and non surgical procedures as well as out of network authorization physician requests.

I would like to continue my career working on prior authorization requests based on clinical pharmacist review.

Receive and enter prior authorization requests for medical services or prescription drugs not the health plan drug formulary as well as retroactive authorization, inpatient hospitalization, and appeal requests.

Take calls from providers to submit and check the status of prior authorization requests while following HIPAA guidelines

Entering prescriptions, register new patients, accurately fill medications, mix reconstitutes, file prescriptions, answer phones, cash handling, sending and receiving faxes, answer and send emails, work on insurance problems, submitting prior authorization requests, maintain pharmacy inventory, scheduling for technicians, train students and new employees, maintain pharmacy duties while caring for patients needs.

* Receives and completes all medication prior authorization requests for the clinic working with the providers and pharmacy payors.

2003 to 2005: Preauthorization Manager Provided overall management for up to 20 employees, and oversaw telephone and faxed in prior authorization requests — reviewed for clinical integrity and either approved or denied based on InterQual criteria.

1998 to 2000: Preauthorization Coordinator Oversaw administration of prior authorization requests, utilized InterQual criteria, interacted with Medical Director to efficiently review all information for accuracy, and determined admission legitimacy, treatment, length of stay in health care facility to verify compliance with insurance company reimbursement policies.

Receive, triage referrals and prior authorization requests from Military Treatment Facilities (MTF's) and civilian providers in a database.

* Submission of all prior authorization requests for...

assists with entering prior authorizations when required; provides follow up assistance for prior authorization requests, follows up with requests from physicians for denial letters, provides assistance in gathering historical claim information as required.